Athena Fried - New London, CT

Athena Fried

Military Health Care Provider in New London, Connecticut

NPI 1285732057

Athena Fried is a Military Health Care Provider based in Oakdale, CT. Athena Fried practices in New London, CT. The NPI Number for Athena Fried is 1285732057 and holds a License No. (Connecticut).

The current practice location address for Athena Fried is 15 Mohegan Ave, New London, CT and can be reached out via phone at 860-444-8402. You can also correspond with Athena Fried through the mailing address at 1039 ROUTE 163, OAKDALE, CT - 06370-1108 (mailing address contact number: 860-444-8402).

Location: 15 Mohegan Ave, New London, CT, 06370-1108

NPI Number

1285732057

Provider Name

Athena Fried

Credential

Provider Entity Type

Individual

Gender

Female

Address

15 Mohegan Ave, New London, CT, 06370-1108

Phone Number

860-444-8402

Fax Number

Provider Enumeration Date

09/20/2006

Last Update Date

03/08/2024

Address

15 Mohegan Ave

City

New London

State

Connecticut

Zip

06320-8100

Phone Number

860-444-8402

Fax Number

Address

1039 Route 163

City

Oakdale

State

Connecticut

Zip

06370-1108

Phone Number

860-444-8402

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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